MEMBER EMAIL COLLECTION PROGRAM
2009 Order Form
Order form for:
Contact
Credit Union Name
Phone Number
Fax Number
Email Address
Customization/Instruction
Poster
Size
Quantity
Price
8.5 x 11
11 x 14
Stuffer
Size
Quantity
Price
Ship Posters To:
Company/Credit Union/Mailhouse
Address
City, State, ZIP
Attention:
Payment:
Please check method of payment
1. Please debit our Georgia Central account.
Account #
Amount $
Arthorized Signature
2. Please bill the credit union
